PEMISCOT COUNTY MEMORIAL HOSPITAL

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Missouri are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

Long-Term Stay Preventive Actions

Long-Term Stay Deficiencies

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 10/15/2010.

Administration

Choose a Doctor to Be the Medical Director. Inspection Date: 08/21/2008 Correction Date: 10/08/2008
Keep Complete, Dated Lab Records in the Resident's File. Inspection Date: 08/21/2008 Correction Date: 10/08/2008
Train All Employees on What to Do in an Emergency. Inspection Date: 08/21/2008 Correction Date: 10/08/2008
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 08/21/2008 Correction Date: 10/08/2008
Post Nurse Staffing Information. Inspection Date: 08/06/2009 Correction Date: 09/30/2009
Choose a Doctor to Be the Medical Director. Inspection Date: 08/06/2009 Correction Date: 09/30/2009

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 08/21/2008 Correction Date: 10/08/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 08/21/2008 Correction Date: 10/08/2008
Have a Program to Keep Infection from Spreading. Inspection Date: 08/21/2008 Correction Date: 10/08/2008
Put Firmly Secured Handrails on Each Side of Hallways. Inspection Date: 08/21/2008 Correction Date: 10/08/2008
Provide Needed Housekeeping and Maintenance. Inspection Date: 10/15/2010 Correction Date: 12/12/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 10/15/2010 Correction Date: 12/12/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 10/15/2010 Correction Date: 12/12/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 10/15/2010 Correction Date: 12/12/2010

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 08/06/2009 Correction Date: 09/30/2009
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 10/15/2010 Correction Date: 12/12/2010

Nutrition and Dietary

Make Sure That Residents Are Well Nourished. Inspection Date: 08/21/2008 Correction Date: 10/08/2008
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 08/21/2008 Correction Date: 10/08/2008
Make Sure That the Attending Doctor Orders Special Diets. Inspection Date: 08/21/2008 Correction Date: 10/08/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 08/21/2008 Correction Date: 10/08/2008
1) Provide 3 Meals Daily at Regular Times; or 2) Serve Breakfast Within 14 Hours After Dinner; or 3) Offer a Snack at Bedtime Each Day. Inspection Date: 10/15/2010 Correction Date: 12/12/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 10/15/2010 Correction Date: 12/12/2010

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects. Inspection Date: 08/21/2008 Correction Date: 10/08/2008
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 08/21/2008 Correction Date: 10/08/2008
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 08/21/2008 Correction Date: 10/08/2008
Properly Mark Drugs and Other Similar Products. Inspection Date: 08/21/2008 Correction Date: 10/08/2008
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects. Inspection Date: 08/06/2009 Correction Date: 09/30/2009
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 08/06/2009 Correction Date: 09/30/2009
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 10/15/2010 Correction Date: 12/12/2010
Properly Mark Drugs and Other Similar Products. Inspection Date: 10/15/2010 Correction Date: 12/12/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 08/21/2008 Correction Date: 10/08/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 08/21/2008 Correction Date: 10/08/2008
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 08/06/2009 Correction Date: 09/30/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 10/15/2010 Correction Date: 12/12/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 10/15/2010 Correction Date: 12/12/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 10/15/2010 Correction Date: 12/12/2010

Resident Assessment

Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health. Inspection Date: 08/21/2008 Correction Date: 10/08/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 08/21/2008 Correction Date: 10/08/2008
Provide a Final Summary of the Resident's Health Status and a Summary of the Resident's Stay, when the Resident is Ready to Leave the Nursing Home. Inspection Date: 08/21/2008 Correction Date: 10/08/2008
Keep Assessments Completed in the Preceding 15 Months in the Resident's Active Record. Inspection Date: 08/21/2008 Correction Date: 10/08/2008

Resident Rights

Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey. Inspection Date: 08/21/2008 Correction Date: 10/08/2008
Let Residents Talk to and Get Information from Agencies Acting on Their Behalf. Inspection Date: 08/21/2008 Correction Date: 10/08/2008
Have a Private Telephone Available for Use. Inspection Date: 10/15/2010 Correction Date: 12/12/2010

The table below lists incident reports by the nursing staff or administration for Pemiscot County Memorial Hospital, as well as complaints by residents or their family in the previous three years.

Administration

Quickly Tell the Resident's Doctor the Results of X-Rays and Other Tests. Complaint Filed: 02/05/2009 Correction Date: 04/15/2009
Keep Signed and Dated Reports of X-Rays and Other Tests. Complaint Filed: 02/05/2009 Correction Date: 04/15/2009

Environmental

Keep Safe, Clean and Homelike Surroundings. Complaint Filed: 02/05/2009 Correction Date: 04/15/2009
Have a Program to Keep Infection from Spreading. Complaint Filed: 02/05/2009 Correction Date: 04/15/2009
Have a Program to Keep Infection from Spreading. Complaint Filed: 04/15/2009 Correction Date: 06/11/2009

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Complaint Filed: 02/05/2009 Correction Date: 04/15/2009

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Complaint Filed: 02/05/2009 Correction Date: 04/15/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Complaint Filed: 02/05/2009 Correction Date: 04/15/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Complaint Filed: 02/05/2009 Correction Date: 04/15/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Complaint Filed: 08/06/2009 Correction Date: 09/30/2009

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Complaint Filed: 02/05/2009 Correction Date: 04/15/2009

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Pemiscot County Memorial Hospital had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 10/15/2010.

Building Service Equipment

Properly Protected Cooking Facilities. Inspection Date: 08/21/2008 Correction Date: 10/08/2008
Properly Protected Cooking Facilities. Inspection Date: 08/06/2009 Correction Date: 09/30/2009

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 08/21/2008 Correction Date: 10/08/2008
Exits That Are Accessible at All Times. Inspection Date: 10/15/2010 Correction Date: 12/12/2010

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 08/06/2009 Correction Date: 09/30/2009
An Automatic Smoke Detection System in All Hallways. Inspection Date: 08/06/2009 Correction Date: 09/30/2009

Furnishings and Decorations

Properly Sized and Located Linen or Trash Receptacles. Inspection Date: 10/15/2010 Correction Date: 12/12/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 08/21/2008 Correction Date: 10/08/2008

Illumination and Emergency Power

Proper Backup Exit Lighting. Inspection Date: 08/21/2008 Correction Date: 10/08/2008

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 08/21/2008 Correction Date: 10/08/2008